PETITION FOR A MAKE-UP TEST
Student Personal Information
Name:
ID #
Course title
Course code
Test
requested:
Mid-term
Writing
☐
☐
Final
Objective
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☐
Reasons for missing the test: (please list all reasons and provide any certificates you
may have to validate your request).
For the use of the Course Coordinator:
I have reviewed the request made by the student to the best of my knowledge and
my recommendation is:
APPROVE
☐
NOT APPROVE
☐
For the Use of the Deputy Director for Curriculum, Assessment and Student
Support:
APPROVE
☐
NOT APPROVE
☐